Tag: Keratoconus

Progressive Keratoconus: 4 Tips to Improve Your Everyday Life

April 3, 2009

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Keratoconus

Keratoconus , Keratoconus advice , Keratoconus syptoms

Our journey through life is often a bumpy one. Many of us have trouble coping with stress and the riggers life brings without throwing Progressive Keratoconus in the mix. However finding new ways to cope with your disease can help reduce extra problems along the way. Below are a few tips to assist you in making life a little easier:

Tip 1: Educate yourself:

Your doctor can do a lot for you but when you take the initiative to find out about your illness you can ask important questions, feel more comfortable with what they are telling you, learn whys you can help yourself.

Tip 2: Find a good doctor:

It is just as important to find a eye doctor you are comfortable with as it is to find a general physician. Make sure that the doctor you choose is comfortable with you asking questions, they are concerned about you, and that they have proper time for you. If you notice it is hard to schedule an appointment, or they take more than 24 hours getting back to you than you should find another doctor.

Tip 3: Reduce the amount of times you rub your eyes:

Progressive Keratoconus can be increased by excessive eye rubbing. To ensure you don’t create anymore damage speak with your doctor about dry eye, allergies, and other conditions that can cause itchy and irritated eyes. They may be able to prescribe drops or medications to help you combat these problems.

Tip 5: Find a good contact lens fitter:

Find a contact lens fitter that sees Keratoconus on a regular basis i.e. weekly or even better daily. It is important that they offer a full range of contact lens options, soft toric contacts, hybrid contacts, piggy back lenses, Rose-K, Dyna-Z intralimbal, and Mini-sclera are some of those options that should be available.

Most of all pamper yourself. Don’t worry about all the things that are wrong or what may happen 5 years from now find out how you can treat your condition now. There are many treatments out now that can greatly improve even reverse the damage of keratoconus. Focus on your treatment, taking care of yourself, and your education. You are your best tool.

For more information about keratoconus visit the American Keratoconus Association

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3 Tips For Managing Your Keratoconus

March 7, 2009

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Keratoconus

Keratoconus , Keratoconus syptoms

Progressive Keratoconus [a.k.a KC] can be a difficult condition to live with. The loss of vision can be frustrating and disruptive to regular daily activities we know and love. However Keratoconus can also be difficult for families with suffering loved ones.

Keratoconus affects about 1 in every 2,000 Americans. Keratoconus however is not just a problem in the US people are suffering everywhere. World-wide the disease is estimated to effect 50-230 in every 100,000 patients.

Many patients have to cope with symptoms of keratoconus daily. Managing symptoms can be difficult. They can consist of:

Eye Strain- producing headaches and blurred vision

Poor Night Vision- producing halos, double vision, and vision loss while driving at night

Photophobia- [Sensitivity to light]- producing headaches, watery eyes, and dark spots

Below are 3 helpful things to think of when managing your Keratoconus:

Tip 1: Finding the Right Doctor- Determining if your doctor is the right one for you can be difficult. Making sure you check the very basic of things is important. Here are a few things to ask to see if your doctor is right for you.

What do you specialize in? – It is important your doctor works with patients with keratoconus.

What is your success rate in treatment of Keratoconus?

What treatments does your office provide for patients with Keratoconus?

Tip 2. Assess your treatment options- Don’t wait for your doctor to tell you what options are available. Do your homework, evaluate your options and write down any additional questions you have for your doctor.

Tip 3: Support Groups- Support groups not only assist you with coping with the daily stress of Keratoconus, but it helps your family deal with it as well. Finding a support group can give your and your family comfort, knowledge, and friendship while you are being treated for your condition.

For more information about keratoconus visit the American Keratoconus Association

Understanding Keratoconus Symptoms

February 27, 2009

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Keratoconus

Generally when we think of Keratoconus what comes to mind? Well if you already a Keratoconus patient you may think of things like blurred vision, or nearsightedness, astigmatism, or even sensitivity to light. The truth is these are often generalized symptoms and are also associated with other conditions, making it hard to diagnose as Keratoconus. So what questions should you be asking your doctor and does your current doctor specialize in treating patients with Keratoconus?

First the symptoms of Keratoconus:

High Astigmatism
Increased Astigmatism
Blurred Vision
Distorted night vision
Sensitivity to light
Blurred Vision

Blurred Vision and sensitivity to light are also found in patients with diabetes. Patients with Diabetes also have trouble with cataracts and astigmatism. However in recent studies researchers have found that patients with diabetes are at less risk of getting Keratoconus. Why? It has been found that patients with Type 2 Diabetes often develop harder corneas, in turn causing the exact opposite of the effects of Keratoconus. However few Diabetics are checked for Keratoconus because the symptoms they are experiencing are also symptoms caused by the damage of the sugar to the eye.

Blurred Vision and Pain in the eyes can also be caused by dry eye. Doctors find that patients who do excessive reading or writing blink less causing the eye to dry out more. The effects of dry eye while the condition can be well treated and is not life threatening can cause some damage to the cornea, creating double vision, distorted images, and can cause a lot of comfort.

The most important thing is to be sure to rule out risk factors for Keratoconus, find the right doctor, and ask questions. Below is a guide to assist you:

Risk Factors:

Family History
Trauma or injury to eyes
Constant rubbing of the eye
Inherited Diseases: Down Syndrome, Some Renial diseases

Questions to Ask the Doctor:

If you have a family history of Keratoconus you might ask:

What area do you specialize in?
How much experience do you have diagnosing and treating patients with Keratoconus?
What tests and treatments do you have available?

If you notice symptoms of Keratoconus you might ask:

Can you explain the results of my tests?
If your sight is getting worse you might ask- Do you know why my vision is getting worse?
What can I do to help improve my vision or will It continue to get worse?

Make sure to log your symptoms and how long they last. If you have a family history of eye disease or you are not sure if you have a family history of eye disease make sure the doctor is aware of this. Above all don’t be afraid to ask questions no matter how small they seem. If the doctor doesn’t have time to answer your questions so you understand him- find one that will. Your Vision care should be your concern.

For more information about keratoconus visit the American Keratoconus Association

Former Keratoconus Patient Steve Holcomb Enters Bobsled World Championships

February 20, 2009

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Keratoconus True Testimonials

Bobsledder Keratoconus , Keratoconus , Steve Holcomb

This year in January Steven Holcomb had undergone a vision correction treatment that restored is vision. With his uncanny talent in bobsledding few knew of the troubles Steve suffered out there on the track. However his sight had become such a problem the extraordinarily talented athlete thought of throwing in the towel and retiring. In one last effort to help himself a few organizations pitched in an assisted the athlete in getting the experimental procedures done. His response to the procedures?

Quote from USA Today:

“I could instantly see clearly. It’s an amazing feeling”

– Says a pleased Steve Holcomb

Now with the 2010 games coming up the athlete is back and stronger than ever. Holcomb entered the Bobsled World Championships on Friday in New York. His vision is almost perfect a far cry from his vision early last year at 20/1000 which for those of you that don’t know is quite poor -noted by doctors as profoundly poor in fact.

In further quotes Steve Holcomb states:

“Its life in high-definition”

His team was not aware of how bad Holcomb’s vision was until recently but says that he worked more off instinct than vision anyway. And Steve is more confident and amped about his vision than ever, no longer worrying about the constant hassle of his contacts and view life in a whole new way…as for the 2010 games will just have to wait and see!

Read the USA Today Article: http://www.usatoday.com/sports/olympics/vancouver/sliding/2010-01-27-holcomb-vision_N.htm

For more information about keratoconus visit the American Keratoconus Association

What Caused Your Keratoconus?

February 17, 2009

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Keratoconus

cornea , eye doctor , eye surgery , Keratoconus , Keratoconus advice , ophthalmic

Genetics

The frequency of keratoconus in first degree relatives having the disease is much higher than the general population. Keratoconus can also be associated with other systemic syndromes such as Down’s syndrome.

The good news is that keratoconus is often not passed to children. If you have or may have children in the future, it’s only a 6% likelihood that any of your children will inherit keratoconus.

It makes sense to have your children have a baseline corneal topography between ages of 8-10 years old and have a topography every year. The subsequent topography maps can be compared to the first one to catch keratoconus early if it will be occurring. Early keratoconus can easily be “nipped in the bud” with a C3-R® treatment before it gets worse.

Quote:

“It seems that both environment and genetics play a role in Keratoconus”

-Says Dr. Brian S. Boxer Wachler, MD.

Free Radicals

All corneas, like any tissues in the body, create harmful byproducts (free radicals) of cell metabolism (metabolism is a fancy word for the activities of the cell required for it to live and do it’s thing). These byproducts are similar to a car’s exhaust that results from the car being driven. Normal corneas, like any other body tissue, have a defense system in place to neutralize the free radicals so they don’t damage the collagen.

The collagen is the equivalent of steel beams that support a building. Damage to those beams causes the building to tilt, just like damage to the collagen causes the cornea to bulge. Think of those free radicals as attacking your collagen fibers in the cornea, trying to thin it and weaken it.

The problem with keratoconus is that anti-free radical system in the cornea (called anti-oxidants) are not properly working, so the free radicals are allowed to overwhelm and wreak havoc on the collagen fibers. They bombard the cornea like mortar fire blasting into a brick wall. The free radicals damage the cornea, thin it, and ultimately allow it to bulge and steepen out. This is how your vision got worse from keratoconus.

For more information about keratoconus visit the American Keratoconus Association

True Testimonials – Kenny Atkins, 1st US Reported INTACS for Keratoconus Patient

February 10, 2009

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Intacs Keratoconus True Testimonials

cornea , eye diseases , eye doctor , Intacs , Keratoconus , Keratoconus Inserts , Keratoconus syptoms , Keratoconus Treatment , Keratoconus treatments , ophthalmic , patient experiences

When I started college I was an Ocean Lifeguard. At school, I found it harder to focus on textbooks. I thought it was just the chlorine from the pool. I had my eyes checked and I was diagnosed with astigmatism in one eye and I started wearing glasses while studying. As lifeguarding became my chosen profession, I found it hard to focus in the afternoon as the Southern California sun set lower in the sky.

When running out for a rescue, I would often lose my prescription sunglasses. I tried soft lenses, but sand got under them and that was uncomfortable. The lenses often slid up behind my eyes and even floated away when I swam. I often went without correction because of the irritation. By late afternoon I would see double images of objects far away, such as a boat on the horizon.

When laser eye surgery became available, I was excited. However, I was discouraged to learn that I had keratoconus in one eye and was not a candidate for LASIK. I came across an article and some studies by Dr. Boxer Wachler. I was optimistic after my first meeting with him in 1999. He explained a new procedure Intacs that would help correct my keratoconus and vision. Back then Intacs had not been reported on a patient with keratoconus in the United States, but he felt it was ready to be attempted. As I was a good candidate, I welcomed the opportunity. A week after surgery, the vision in that eye improved to a great degree. I was able to see nearly equally with both eyes and it was unnecessary to wear glasses or contacts at work. After a few months I noticed that I was relying more and more on the corrected eye!

It has now been about eight years since I had Intacs and I still do not wear corrective lenses. I am able to pick objects out of the glare on the horizon and street signs on the freeway well before I need to turn. The freedom I have gained and the confidence I now have in my vision has proven invaluable to me and my ability to continue in my profession.

The ability to see well in lifeguarding is critical, and I no longer have the worry that I might miss something that could result in someone’s pain, suffering or their life. I owe this self assuredness to Dr. Boxer Wachler and to Intacs.

I feel fortunate to have been at the right place at the right time in history. I can appreciate the saying, “Nothing ventured, nothing gained.” I am glad that my pioneering experience helped pave the way for the thousands of other patients who have subsequently benefited from innovative advancements for keratoconus. I am pleased to dedicate this book to the thousands of future patients who will benefit from these innovations.

– Kenny Atkins, first reported Intacs® for

keratoconus patient in the United States

Learn more about keratoconus: http://en.wikipedia.org/wiki/Keratoconus

For more information about keratoconus visit the American Keratoconus Association

True Testimonials: Seeing Through the Haze~ Meet Catherine Bally

October 29, 2008

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Keratoconus True Testimonials

Keratoconus , Keratoconus advice , Keratoconus syptoms , Keratoconus Treatment

Catherine has struggled for many years with the deterioration of her vision. As most Keratoconus patients do she has had a number of different corrective eye wear including Hard contacts which are many times difficult to handle creating irritation to the eyes, pain and discomfort – to having soft contacts that still don’t provide her with adequate vision.

Catherine started wearing the Hard contacts as a teen has suffered still with the problems of vision disturbances. Her Keratoconus had created a haze over things she saw making it difficult to see clear enough to make turns and walk down and up stairways while walking. Sometimes getting help with walking from her teenage children.

Catherine has gone to several ophthalmologists over the years. Receiving the same answer “We don’t know how to improve your vision.” Some requested she get a cornea transplant that even see considered but doctors were hesitant to perform. Recently Catherine did a search on treatments for Keratoconus and found Dr. Boxer Wachler.

She discovered that there were treatments that could help her with her severe nearsightedness and progressive Keratoconus. She immediately had an evaluation. Dr. Boxer Wachler performed 3 Treatments on Catherine’s eyes giving her remarkable results. In just 24 hours she stated:

Quote:

“For the first time in my life ever I can see things Clear”

Catherine is walking down the stairs without fear of falling, bending corners, and has the freedom of living a normal life again. Although see still wears glasses Catherine is very grateful for the procedures she received and to Dr. Boxer Wachler who gave her what see always dreamed…vision.

The procedures performed on Catherine where Intacs, C3-R®, and CK. These procedures can stop the progression of Keratoconus and help reverse the damage of Keratoconus on the eyes. Catherine had severe damage to her eyes so she still will need corrective lenses but her vision has improved drastically. The procedure affects each patient differently depending on the severity of the Keratoconus.

For more information about keratoconus visit the American Keratoconus Association

True Testimonials: Anxiety Free Vision Correction~ Meeting Dorothy McDonald

September 24, 2008

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Keratoconus True Testimonials

Keratoconus , Keratoconus advice , Keratoconus Treatment

Many of us deal with anxiety when it comes to our eyes. The patients at Boxer Wachler Vision Institute are no exception. The key is all in how they are treated. There is a big difference in with treatment of patients at Boxer Wachler Vision Institute and other vision centers.

Meet Dorothy McDonald a registered nurse who has had to use reading glasses for the better part of her life. She is an avid reader of her local newspaper as stated she was tired of reading it with her glasses and was ready for a change.

Deciding to get vision corrective surgery is not a decision to take lightly. However she decided it was time. Dorothy decided to have CK followed by C3-R in both eyes despite her concerns and anxiety. She shares that she enjoyed the presence of staff in the room with her and listening to their voices.

She had an “Anxiety Free” experience with the CK. However during her C3-R procedures Dorothy did experience some anxiety and the staff aided her by holding her hand, talking her through the procedure and with some medication to help her through.

Dorothy stated in an interview 24 hours after the procedure-

Quote:

“I woke up this morning to read the newspaper for the first time in 5 years without my glasses.”

While her procedures went well Dorothy tells anyone who is tired of wearing glasses to read to try the procedure. She says it is painless and a wonderful decision! For many of us we fight with the decision to have procedures done; especially if they are new. However the Boxer Wachler Vision Institute offers a caring and expert staff that go above and beyond to meet your needs-Just ask Dorothy!

For more information about keratoconus visit the American Keratoconus Association

Mapping Your Eyes: Topography & Keratoconus

September 17, 2008

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Keratoconus

Keratoconus , Keratoconus advice

One of the best ways to evaluate the cornea is through the use of Corneal Topography. There are various signs in the mapping that show the doctors signs of keratoconus and other progressive eye conditions. The topography can show irregular and steepening of the shape of the cornea. The normal cornea also has a 90 degree axes perpendicular in the cornea. In the normal cornea during corneal topographies there is a smooth and flat surface.

If the topography shows irregularities or steepening this is a sign that there are problems. Any irregularities in the cornea such as steepening and/or irregular shaping of the axies show signs of irregular astigmatisms. Raising questions for diagnosis of Keratoconus. When doctors check for Keratoconus in the Lasik evaluation they look for “ Inferior Steepening.” Corneal Astigmatism appears in the shape of a football compared to a normal cornea that is round and smooth.

Additionally Keratoconus is confused with Pellucid Marginal Degeneration or PMD. PMD was first discovered by an Ophthalmologist in 1957 named Dr. Schalaeppi. Pellucid Marginal Degeneration is a break down of the cornea creating a lobster claw pattern. PMD is also known as the peripheral form of keratoconus. While the disease is in the same family and similar there are some differentiating factors. When viewing in a corneal topography the PMD appears as a steepening from the outer margin of the cornea heading inwards and appearing to pinch the center.

Signs of Pellucid Marginal Degeneration:

No pain reported [compared to keratoconus]

Visual distortions

No vascularization of cornea

No scarring

Lobster Claw formation
In the end the best form of testing for Keratoconus is to have a baseline corneal topography, and regular testing annually. The treatments of keratoconus are advancing and progression of this disease can be treated successfully. Catching the condition early can give you a better result. Checking with your ophthalmologist and getting regular checkups is a must.

For more information about Pellucid Marginal Degeneration visit the American Academy of Opthamology

For more information about keratoconus visit the American Keratoconus Association

Describing Keratoconus

September 16, 2008

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Keratoconus

Keratoconus , Keratoconus advice

Keratoconus is a non-inflammatory degenerative eye disease. Keratoconus causes damage to the collagen fibers in the cornea causing them to grow weak. When it reaches a weak enough point in the fiber it bulges up like that of a hernia. Keratoconus causes irregular astigmatism, steeping of the cornea, and vision loss in the cornea. This significantly affects the patient’s daily life. Giving them grief when driving, reading and often completing day to day activities.

Vision loss can be mild to severe in one or both eyes. Keratoconus is diagnosed in 54.5 people out of every 100,000 in the general population. However the concentration of diagnosed patients being evaluated for Lasik is much higher, because people with keratoconus often seek Lasik to correct their poor vision. Lasik surgery is not an efficient treatment for those with Keratoconus due to its underlying risks for complications and high incidences of causing a rapid progression of the condition necessitating more surgery even possibly the need for a cornea transplant.

Many vision correction surgeons use corneal topography to map the eyes before treatment. This gives them a better view of the corneas of each patient. They use the mapping of both eyes to compare the changes and differences. The patients must be mapped in both eyes because is useful to detect and stage keratoconus this way. Over 90% of patients with keratoconus are affected in both eyes and over 6% are affected in one eye only. Keratoconus often strikes patients in one eye first and spreads to the other. However by the time the patient is diagnosed often the Keratoconus have affected both eyes.

If patients are not properly diagnosed before Lasik they can develop Lasik-induced Keratoconus or Keratoectasia. There are many symptoms of Keratoconus and proper evaluation of eyes regularly is best to catch Keratoconus or other vision problems early.

Below is a list of symptoms of keratoconus:

Glare and/or light sensitivity

Frequent prescription changes

progressive nearsightedness

irregular astigmatism

High amounts of Astigmatism

inferior steeping on corneal color mapping (topography)-red spots on mapping

It is wise to check with your eye doctor if you feel you have more serious case. Additionally finding someone who is familiar with early signs of Keratoconus is also wise as some doctors may not be familiar with them. Taking care of your eyes and vision is always a wise decision. Educating yourself can help you rule out issues in the future. Always consult your eye doctor if there are changes in your vision.

For more information about keratoconus visit the American Keratoconus Association

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